Routine inspection·August 8, 2024

On 8/8/2024 at 10:10AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Luisa Tecson and explained the purpose of the visit. Administrator was unable to be at the facility during inspection. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 3/28/2024. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 105 degrees F in the hallway bathroom sink. LPA observed grab bars and non-skid mat in the resident's bathroom. First Aid kit is complete. Medications were kept locked in the cabinet located in the kitchen. Last disaster drill was conducted on 6/21/2024. LPA reviewed 3 resident and 2 staff files starting at 11:10AM. LPA interviewed 2 residents and 1 staff starting at 2:00PM. LPA reviewed a sample of resident's medications during inspection. At 10:30AM, LPA observed unlocked cleaning supplies in the bathrooms. LPA also observed unlocked knife and lighter in the kitchen drawer. Staff locked up the cleaning supplies, knife, and lighter during inspection. At 1:00PM, LPA observed R3 has full bed rails and not on hospice care. At 1:30PM, LPA observed R1 and R3 does not have a written physician's order for bed rails. (Continue on LIC809C...) At 3:00PM, LPA observed doctor's order for R3's Acetaminophen was 325mg and take two tablets daily every 6 hours as needed. However, the bottle of Acetaminophen that was administered to R3 was Acetaminophen 500mg. Civil penalty of $250 is being assessed for repeat violation. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights were provided.